| NPI | 1689497927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA Z GOATLEY Licensed Professional Counselor 540-212-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |